ArticleInternational journal of environmental research and public health2020
Health Disparities Research Framework Adaptation to Reflect Puerto Rico's Socio-Cultural Context.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
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Who cites it
36 citing papers in PubMed.
- Vidas en Contexto: Unpacking Social Determinants of Health and Related Health Outcomes among Puerto Ricans through a Person-Centered Approach.Journal of racial and ethnic health disparities · 2026Article
- Patterns of Multimorbidity among Older Adults with Colorectal Cancer Living in Puerto Rico.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026Article
- The Translation and Cultural Adaptation of the Pediatric Eating Assessment Tool in Puerto Rican Spanish: A Comparison between Dyads in Puerto Rico and Mainland United States during the COVID-19 Pandemic.Hispanic health care international : the official journal of the National Association of Hispanic Nurses · 2026Article
- Article
- Factors Influencing Self-Reported Health in Puerto Rican Populations: A Systematic Review.Health science reports · 2026Review
- Article
- The Effects of Asthma, Anxiety, and Depression on Sleep Outcomes Among Youth in Puerto Rico.Journal of clinical psychology in medical settings · 2026Article
- Too Tired, Too Busy, Still Trying: Perspectives on Exercise Participation Among Latino Parents of Children with Developmental Disabilities.Journal of autism and developmental disorders · 2026Article
- Cognitive difficulties among middle-aged and older Latino adults: within-group variation across U.S. states.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- Organizational resilience in Puerto Rico's primary care clinics: absorbing, adapting, and transforming under stress.Frontiers in health services · 2026Article
- Applying the NIMHD research framework to assess research capacity: lessons and adaptations for use.Frontiers in public health · 2026Article
- Exploring social, economic, and environmental correlates of suicide in Puerto Rico, 2017-2022: an ecological cross-sectional study.Injury epidemiology · 2025Article
- Beyond financial incentives: a quantitative study on spatial stigma and Puerto Rican physician migration to the United States.Global public health · 2025Article
- Applying an intersectional lens to alcohol inequities: A conceptual framework.Addiction (Abingdon, England) · 2025Article
- Design and Implementation of a Community-Based Educational Program to Enhance Prostate Cancer Screening in Southeastern Puerto Rico.Healthcare (Basel, Switzerland) · 2025Article
- Air Pollutants in Puerto Rico: Key Pollutants and Carcinogenic Properties.International journal of environmental research and public health · 2025Review
- Structural Supports and Challenges for Community Health Worker Models: Lessons from the COVID-19 Response in Orange County, California.SSM. Qualitative research in health · 2025Article
- Challenges oncologists face when caring for hispanics living in puerto rico with colorectal cancer and multiple chronic conditions.BMC cancer · 2025Article
- Development of a curriculum and training program for community health promoters in vulnerable communities in Puerto Rico.International journal of health promotion and education · 2025Article
- Adapting the NIMHD Research Framework for Type 2 Diabetes-Related Disparities.Current diabetes reports · 2025Review
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
In this article we aim to briefly describe how Puerto Rico's living conditions influence adverse health outcomes at an individual, community and population level using the National Institute of Minority Health and Health Disparities (NIMHD) Research Framework that considers multiple factors and their intersecting influence. People living in Puerto Rico face significant levels of poverty, a deficient infrastructure, a fragile healthcare system and the continuing dismantling of the public education system as well as hazardous environmental exposures. The treatment of Puerto Ricans as second-class citizens due to the federal policies of the U.S. government and also the mismanagement of funds from local authorities impacts the prevalence of chronic health conditions and vulnerability to disasters such as hurricanes, earthquakes and pandemics. Puerto Rico's health disparities are rooted in historical, cultural, political and economic factors that have an impact on biology, interpersonal and environmental aspects. In order to significantly reduce health disparities, systemic change is needed at a local, national and federal level. Interventions must consider how social determinants impact the quality of life and seek to impact the intersections of different contexts that have an effect at an individual, interpersonal, communal and societal level. This can be achieved through evidence-based, culturally appropriate and community based as well as translational research approaches that seek to impact behavior and social economic factors.
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